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Lessons learned in replicating data-driven experiments in multiple medical systems and patient populations

Samantha Kleinberg, Noémie Elhadad
2013 AMIA Annual Symposium Proceedings  
In this paper we describe the results of replicating a data-driven experiment to infer possible causes of congestive heart failure and their timing using data from two medical systems and two patient populations  ...  We focus on the difficulties faced in this type of work, lessons learned, and recommendations for future research.  ...  Acknowledgments This study was supported by NLM contract HHSN276201000024C (NE) and the NSF under Grant #1019343 to the Computing Research Association for the CIFellows project (SK).  ... 
pmid:24551375 pmcid:PMC3900216 fatcat:eidghutd75h7dl4dq5nwc5ftlq

Opportunities to Improve Population Health by Integrating Governmental Public Health and Health Care Delivery: Lessons from the ASTHO Million Hearts Quality Improvement Learning Collaborative

Jose T. Montero, Sharon G. Moffatt, Paul E. Jarris
2015 NAM Perspectives  
In one example, New Hampshire's learning collaborative team benefited from Cheshire Medical Center/Dartmouth-Hitchcock Keene's experience integrating community and clinical partners and increasing patient  ...  Each state in the ASTHO learning collaborative identified a need to improve its ability to achieve data-driven action.  ... 
doi:10.31478/201502e fatcat:3l2ksywmc5fkfh2kcis5hxt2ha

When Past Isn't a Prologue: Adapting Informatics Practice During a Pandemic

Thomas G Kannampallil, Randi E Foraker, Albert M Lai, Keith F Woeltje, Philip R O Payne
2020 JAMIA Journal of the American Medical Informatics Association  
Building upon our recent experiences, we present four critical lessons-learned that have helped shape our scalable, data-driven response to COVID-19.  ...  We describe each of these lessons within the context of specific solutions and strategies we applied in addressing the challenges that we faced.  ...  Dennis Goldfarb and Rachel Komeshak for their input and contributions.  ... 
doi:10.1093/jamia/ocaa073 pmid:32333757 pmcid:PMC7188126 fatcat:qmode5v6bjhf3jlkxlchzv7nli

Lessons Learned from Applying a Modified Learning Collaborative Model to Promote Change in Regional and Statewide HIV Care Systems

Lori A. DeLorenzo, Jane Fox, Evelyn Byrd Quinlivan, Kate M. Gilmore, Mari Ruetten, Michelle Broaddus, Wayne Steward, Janet Meyers
2018 Aids and Behavior  
Our findings provide key lessons and present considerations for replication for use of a modified Learning Collaborative to achieve state-level systems change.  ...  The Health Resources and Services Administration Special Projects of National Significance launched the Systems Linkage and Access to Care for Populations at High Risk of HIV Infection Initiative in 2011  ...  The purpose of this article is to describe the application of a modified Learning Collaborative model using a systems-level approach, associated lessons learned and explore considerations for replication  ... 
doi:10.1007/s10461-018-2176-4 pmid:29936605 fatcat:yeeqqnqxrvbk7jr4ncgv3coaxq

Data-driven quality improvement in low-and middle-income country health systems: lessons from seven years of implementation experience across Mozambique, Rwanda, and Zambia

Bradley H. Wagenaar, Lisa R. Hirschhorn, Catherine Henley, Artur Gremu, Ntazana Sindano, Roma Chilengi
2017 BMC Health Services Research  
AHI PHIT Partnership Collaborative; Data-driven quality improvement in low-and middle-income country health systems: lessons from seven years of implementation experience across Mozambique, Rwanda, and  ...  Increasing data-driven decision making was a common strategy in Mozambique, Rwanda and Zambia.  ...  lessons learned across 7 years of implementation experience in Mozambique, Rwanda, and Zambia for promoting data-driven quality improvement DQA Data quality assessment, RHIS Routine Health Information  ... 
doi:10.1186/s12913-017-2661-x pmid:29297319 pmcid:PMC5763308 fatcat:wxoohdbw2bamtehxvpmvzl2wsa

Collecting, Integrating, and Disseminating Patient-Reported Outcomes for Research in a Learning Healthcare System

Christopher A. Harle, Gloria Lipori, Robert W. Hurley
2016 eGEMs  
Therefore, it is important to share lessons learned in implementing PROs in research information systems.  ...  Therefore, it is important to share lessons learned in implementing PROs in research information systems.  ...  Independent Research Grants for Learning and Change, GM0342. We thank Scott Sortino and other members of the University of Florida IDR team for their contributions to this manuscript.  ... 
doi:10.13063/2327-9214.1240 pmid:27563683 pmcid:PMC4975567 fatcat:hqh62w5tzjeoxhqfozgp4x3koi

Creating World-Class Care and Service for Our Nation's Finest: How Veterans Health Administration Diffusion of Excellence Initiative Is Innovating and Transforming Veterans Affairs Health Care

2019 The Permanente Journal  
care, and 4) interactive and patient-centered care.  ...  In addition, I outline the primary components of the current transition plan to elevate lessons learned and transform the initiative from a nascent start-up to a sustainable part of the Veterans Health  ...  An interdisciplinary clinical team at the Bay Pines VA Healthcare System in Bay Pines, FL, implemented a patient-driven, direct-scheduling process to address a bottleneck for audiometric and optometric  ... 
doi:10.7812/tpp/18.301 pmid:31634111 pmcid:PMC6836558 fatcat:ggwhrbpngfawrm46brtra6tzz4

Developing Ethical and Sustainable Global Health Educational Exchanges for Clinical Trainees: Implementation and Lessons Learned from the 30-Year Academic Model Providing Access to Healthcare (AMPATH) Partnership

Matthew Turissini, Tim Mercer, Jenny Baenziger, Lukoye Atwoli, Robert Einterz, Adrian Gardner, Debra Litzelman, Paul Ayuo
2020 Annals of Global Health  
There is strong interest among healthcare trainees and academic institutions in global health rotations.  ...  The article takes the experiences of the AMPATH partnership and offers practical strategies for implementing similar partnerships based on previously published ethical principles.  ...  Lydia Fischer for her work in collecting early information for this paper.  ... 
doi:10.5334/aogh.2782 pmid:33178558 pmcid:PMC7597575 fatcat:4ntiqibbdzdn3mhdnz34z25w5a

Online randomized controlled experiments at scale: lessons and extensions to medicine

Ron Kohavi, Diane Tang, Ya Xu, Lars G. Hemkens, John P. A. Ioannidis
2020 Trials  
experiments is approaching zero and the value for data-driven decision-making is broadly recognized.  ...  This is an overview of key scaling lessons learned in the technology field.  ...  Acknowledgements We wish to thank members of Microsoft's Analysis & Experimentation team and LinkedIn's experimentation team for their involvement in many of the experiments discussed here.  ... 
doi:10.1186/s13063-020-4084-y pmid:32033614 fatcat:eiefj6vyufcc7kevdswaebo42y

Practice Variation, Bias, and Experiential Learning in Cesarean Delivery: A Data-Based System Dynamics Approach

Navid Ghaffarzadegan, Andrew J. Epstein, Erika G. Martin
2013 Health Services Research  
The repetitive nature of medical decision making, learning from past practice, and accumulating experience can account for increases in CD decisions and practice variation across physicians.  ...  Variation in CD rates is related to the way that physicians learn from outcomes of past decisions and accumulate experience. Conclusions.  ...  This process of feedback and learning may lead to practice divergence despite identical initial states and patient populations.  ... 
doi:10.1111/1475-6773.12040 pmid:23398502 pmcid:PMC3626332 fatcat:7ivf2imdtrhgbps4e2cbjmpicy

Community Oncology Medical Homes: Physician-Driven Change to Improve Patient Care and Reduce Costs

Teresa M. Waters, Jennifer A. Webster, Laura A. Stevens, Tao Li, Cameron M. Kaplan, Ilana Graetz, Barbara L. McAneny
2015 Journal of Oncology Practice  
We report our early experience and lessons learned.  ...  Using feedback from practice sites, we highlight patient-centered innovations and overall lessons learned.  ...  Lessons Learned Implementing medical homes in community medical oncology practices has required that both IOBS, the managing organization, and the participating oncology practices commit to shared learning  ... 
doi:10.1200/jop.2015.005256 pmid:26220931 fatcat:unokirh4tve6ho2xwwzufei6xu

Contributions on Clinical Decision Support from the 2018 Literature

Vassilis Koutkias, Jacques Bouaud, Section Editors for the IMIA Yearbook Section on Decision Support
2019 IMIA Yearbook of Medical Informatics  
The first paper introduces a deep learning model for estimating short-term life expectancy (>3 months) of metastatic cancer patients by analyzing free-text clinical notes in electronic medical records,  ...  While there is currently a trend for data-driven decision support, the promising results of such approaches still need to be confirmed by the adoption of these systems and their routine use.  ...  Acknowledgement We would like to thank Martina Hutter and Adrien Ugon for their support, as well as the external reviewers for their participation to the selection process of the Decision Support section  ... 
doi:10.1055/s-0039-1677929 pmid:31419825 pmcid:PMC6697519 fatcat:r6zkcrliobh45akh2ang6uuy6u

EHR Implementations in Healthcare Practices: Lessons from Two Case Studies

Mayda Alrige, Abdulkareem Alsudais, Miloslava Plachkinova, Samir Chatterjee
2014 Americas Conference on Information Systems  
This framework is comprised of the selection process, the implemented Institute of Medicine (IOM) core functionalities, the meaningful use stages, and the lessons learned and barriers faced for further  ...  As electronic health records (EHRs) are becoming an integral part of the American Healthcare System, understanding their adoption processes and the associated barriers is of great importance.  ...  Acknowledgements We wish to express a sincere thank you to the two key informants who so graciously agreed to participate in our data collection. Without them this study would not have been possible.  ... 
dblp:conf/amcis/AlrigeAPC14 fatcat:qf3l5wx2yfdhhe76skowdmq7za

Implementing learning health systems in the UK NHS: Policy actions to improve collaboration and transparency and support innovation and better use of analytics

Sarah Scobie, Sophie Castle‐Clarke
2019 Learning Health Systems  
Learning health systems (LHS) use digital health and care data to improve care, shorten the timeframe of improvement projects, and ensure these are based on real-world data.  ...  Although there are examples of some aspects of LHS in the UK NHS, it is hard to find examples where there is a continuous cycle of improvement driven by information and where analysis of data and implementing  ...  However, in the context of an LHS that is aiming to link multiple sources of patient level data, the task of linking data across multiple systems is challenging if these are held by different organisations  ... 
doi:10.1002/lrh2.10209 pmid:31989031 pmcid:PMC6971118 fatcat:fh47mwkdhrdv5k3p4oso5rtkhm

Lessons from the organisation of the UK medical services deployed in support of Operation TELIC (Iraq) and Operation HERRICK (Afghanistan)

Martin C M Bricknell, M Nadin
2017 Journal of the Royal Army Medical Corps  
This paper provides the definitive record of the UK Defence Medical Services (DMS) lessons from the organisation of medical services in support of Operation (Op) TELIC (Iraq) and Op HERRICK (Afghanistan  ...  The list of lessons was reviewed through three Military Judgement Panel cycles producing the single synthesis 'the golden thread' and eight 'silver bullets' as themes to institutionalise the learning to  ...  The detail of HOSPEX was covered in a themed edition of the Journal of the Royal Army Medical Corps in 2008. 44 This system has been replicated by other nations 45 and was critical to the safe operation  ... 
doi:10.1136/jramc-2016-000720 pmid:28062527 pmcid:PMC5629939 fatcat:cxcn26sjvbgzblspd35vbrx2gy
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